AlphaFold predicted structure
CYP21A2 · P08686

Mean pLDDT
92.4/ 100
Very high
495 residues
Confidence breakdown
- Very high(≥ 90)83%
- Confident(70–90)11%
- Low(50–70)4%
- Very low(< 50)2%
AlphaFold (Jumper et al., 2021) · CC BY 4.0
cytochrome P450 family 21 subfamily A member 2
Annotations refreshed 1 month ago.
Diagnostic Grade (Green)
Congenital adrenal hyperplasia diagnostic test
BIALLELIC, autosomal or pseudoautosomalDifferences in sex development
BIALLELIC, autosomal or pseudoautosomalFetal anomalies
BIALLELIC, autosomal or pseudoautosomalCongenital adrenal hypoplasia
Extreme early-onset hypertension
BIALLELIC, autosomal or pseudoautosomalclassic congenital adrenal hyperplasia due to 21-hydroxylase deficiency
congenital adrenal hyperplasia
hereditary disease
Ehlers-Danlos syndrome due to tenascin-X deficiency
vesicoureteral reflux 8
classic congenital adrenal hyperplasia due to 21-hydroxylase deficiency, simple virilizing form
adrenal gland disorder
classic congenital adrenal hyperplasia due to 21-hydroxylase deficiency, salt wasting form
congenital lipoid adrenal hyperplasia due to STAR deficency
allergic disease
Score is the Open Targets composite evidence score (0-1). Higher = stronger gene-disease association.
Steroid 21-hydroxylase
A cytochrome P450 monooxygenase that plays a major role in adrenal steroidogenesis. Catalyzes the hydroxylation at C-21 of progesterone and 17alpha-hydroxyprogesterone to respectively form 11-deoxycorticosterone and 11-deoxycortisol, intermediate metabolites in the biosynthetic pathway of mineralocorticoids and glucocorticoids (PubMed:10602386, PubMed:16984992, PubMed:22014889, PubMed:25855791, PubMed:27721825). Mechanistically, uses molecular oxygen inserting one oxygen atom into a substrate, and reducing the second into a water molecule, with two electrons provided by NADPH via cytochrome P450 reductase (CPR; NADPH-ferrihemoprotein reductase) (PubMed:25855791)
CYP21A2 · P08686

Mean pLDDT
92.4/ 100
Very high
495 residues
Confidence breakdown
AlphaFold (Jumper et al., 2021) · CC BY 4.0